WAL-MART STORES EAST LP
Community/Retail Pharmacy · LAWRENCEBURG, TN
Organization Active NPI 1164440913
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 359 | 1,130 | $88,747 | $86,220 | $86,220 |
| 2023 | 424 | 1,318 | $83,226 | $80,712 | $80,712 |
| 2022 | 929 | 2,547 | $103,206 | $98,744 | $98,744 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 279 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 268 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 221 | $13 | $13 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 199 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 65 | $21 | $21 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 54 | $291 | $291 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 22 | $140 | $140 |
| 90684 | Pcv21 vaccine im | 11 | $321 | $321 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C3125 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.